| Regimental number | 28902 |
| Place of birth | Suffolk, England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Holton, Morisset, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A E Smith, Holton, Morisset, New South Wales |
| Enlistment date | 23 May 1916 |
| Date of enlistment from Nominal Roll | 7 June 1916 |
| Place of enlistment | Newcastle, New South Wales |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 2 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia 15 May 1919 |
